Active NPI
Preventive Health Services
- Primary Care Clinic/Center
- Ponce, PR
National Provider Identifier
1316680390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PREVENTIVE HEALTH SERVICES
- Practice address
- 1135 Ave Munoz Rivera
Ponce, PR 00717-0635 - Phone
- (787) 913-0551
- Fax
- (787) 913-0558
- NPI assigned
- Apr 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonthan Olivera Morales, MD
- Title
- President
- Phone
- (787) 913-0551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1135 Ave Munoz Rivera
Ponce, PR 00717-0635
Mailing address
1135 Ave Munoz Rivera
Ponce, PR 00717-0635
Phone (787) 913-0551
Other names 1
- Dr Jonathan Olivera Morales
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1135 Ave Munoz Rivera
Ponce, PR 00717
Phone (787) 913-0051
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Juana Diaz, PR
- NPI 1275165284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650326400000",
"number": "1316680390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 AVE MUNOZ RIVERA",
"city": "PONCE",
"state": "PR",
"postal_code": "007170635",
"telephone_number": "787-913-0551",
"fax_number": "787-913-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 AVE MUNOZ RIVERA",
"city": "PONCE",
"state": "PR",
"postal_code": "007170635",
"telephone_number": "787-913-0551",
"fax_number": "787-913-0558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVENTIVE HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-18",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A",
"authorized_official_last_name": "OLIVERA MORALES",
"authorized_official_first_name": "JONTHAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-913-0551",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr Jonathan Olivera Morales",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ponce, PR
- Precision Medicine Transport Corp
- Precision Nuclear Diagnostics LLC
- Premium Ambulance Service LLC
- Preventive Care Services by Apex
- Preventive Care Services by Apex
- Pricare Medical Services PSC
- Gabriella Isabelle Prieto Rios
- Primary Care and Weight Loss Center
- Primary Care Services
- Primary Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.